Typing the word shown below is a type of challenge-response test used to ensure that the response is not generated by a computer. Because other computers are unable to read the image any user entering a correct solution is presumed to be a valid entry.

Please enter your 12 digit yes card number found on the back of your yes card below to continue.

Please fill in the information below to create your account

If you are already signed up for a yes Card, enter your 12 digit member number here. If not, please leave this field blank.

First Name *

Middle Initial

Last Name *

Address *

Suite/Apt

Zipcode *

City

State / Province

Phone Number (cell preferred)

Birthday Month

Birthday Day

-
-

yes Fuel Rewards

1

Yes, when I qualify, I would like to receive Quick Stop Fuel Rewards at any Family Fare, D&W Fresh Market, Glen’s Market or VG’s Grocery location. Currently, a purchase of $50 or more on any visit will qualify you for a Fuel Reward, see your stores ad for details.

Cash for Class

1

Yes, I would like to sign up for Cash for Class. Enter the name of one or two groups you would like to support.

yes Email

1

Yes, I would like to sign up to receive coupons, rewards, special offers, valuable member information and even some free stuff via email

Please review the information below.

If everything is correct, select the [Accept] button below. If you need to correct an error, select the [Cancel] button.

Email Address *:

First Name *:

Middle Initial:

Last Name *:

Address *:

City:

State:

Zip *:

Phone:

Birthday Month:

Security Question:

Security Answer:

Yes, I would like to sign up to receive coupons, rewards, special offers, valuable member information and even some free stuff via email

Yes, I would like to sign up for Cash for Class.

Yes, when I qualify, I would like to receive Quick Stop Fuel Rewards at any Family Fare, D&W Fresh Market, Glen’s Market or VG’s Grocery location. Currently, a purchase of $50 or more on any visit will qualify you for a Fuel Reward, see your stores ad for details.